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带个朋友: 利用资金和同伴支持提升印度女性的生殖自主权

Bring a friend: Leveraging financial and peer support to improve women’s reproductive agency in India
Journal of Development Economics · 2025 · [{"name": "S Anukriti", "affiliation": ["World Bank Group"]}, {"name": "Catalina Herrera‐Almanza", "affiliation": ["University of Illinois Urbana-Champaign"]}, {"name": "Mahesh Karra", "affiliation": ["Columbia University"]}]

中文摘要

女性在计划生育与生殖健康领域的能动性,是其福祉的一个基本决定因素。我们通过实验评估了旨在提升印度女性生殖能动性的两种方法:我们向接受处理的女性提供当地诊所的补贴性计划生育服务;此外,我们使一部分接受处理的女性能够邀请并激励他人与她们一同前往诊所。尽管补贴促使女性寻求同伴陪同前往诊所并增加了诊所就诊次数,但将补贴与利用同伴支持的能力相结合,提高了女性的避孕措施使用,降低了她们怀孕的可能性,并且在增强生殖能动性和同伴参与方面更为有效。在家庭内部面临更大避孕反对的女性,似乎从同伴支持中受益更多。

Abstract

Women’s agency in the domain of family planning and reproductive health is a fundamental determinant of their well-being. We experimentally evaluate two approaches aimed at improving women’s reproductive agency in India. We offered treated women subsidized family planning services at a local clinic. Additionally, we enabled a subset of treated women to invite and incentivize others to visit the clinic with them. Although the subsidy encouraged women to seek company to the clinic and increased clinic visits, combining the subsidy with the ability to leverage peer support increased women’s contraceptive use, decreased their likelihood of pregnancy, and was more effective in strengthening reproductive agency and peer engagement. Women facing greater intrahousehold opposition to contraception appeared to benefit more from peer support.
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